[ Vol. 13 No. 2 ] (May - August 2012 )
Malnutrition in an indonesia hospital

Luciana B. Sutanto
CiptoMangunkusumo General Hospital (Indonesia)


The prevalence of hospital malnutrition is high, including in Indonesia. Data from our hospital (Cipto Mangunkusumo Hospital, Jakarta) showed that 34,8% of 23 patients in Radiotherapy Unit was considered as underweight based on Body Mass Index (BMI). The mean of hemoglobin and albumin level were normal, 12,80 + 2,22 g/dL and 3,90 + 0,62 g/dL respectively.

In Burn Unit, only 9 of 27 patients had anthropometric data. One of 9 oatients was considered as underweight. The mean of Hemoglobin level was 16,53 + 3,00 g/dL, and albumin level was 3,12 + 0,75 g/dL.

In Digestive Surgical Unit, there was 37,10% of 13 patients who considered as underweight based on BMI. The hemoglobin level was 10,90 (6,3 – 16,0) g/dL, and albumin level was 2,20 + 0,44 mg/dL, assessed on postoperative  day 2.

Anthropometric indices is one of the nutritional status indicator, however in our collected data is not always available. Other objective indicator are assessment, clinical sign and nutritional history. No single parameter can be considered as an indicator of nutritional status.

In ICU, defining malnutrition patients with acutely ill still has no agreement existed yet. By giving adequate nutrition evidently decelerates the malnutrition development. Recent consensus stated that ICU patients with functioning GI tract are candidates to enteral feeding. The ESPEN Guidelines 2006 recommended to start enteral nutrition in 24 hours of admission. Our data of ICU patients showed that 163 of 205 patients received enteral nutrition in hour 3 (1-12). Forty two patients were excluded since stayed in the ICU <24 hours and had orally fed. Total enteral nutrition of 104 patients met the requirements in hour19 (2-92).

The 14th Congress of Parenteral and Enteral Nutrition Society of Asia

“From Nutrition Support to Nutrition Therapy”
October 14-16, 2011, Taipei, Taiwan 
Page: 14